Background: Aortic dissections that present only with symptoms of lower extremity ischemia are rare. Few case reports exist documenting this phenomenon. Objectives: We report an unusual case of aortic dissection presenting as unilateral lower extremity pain. Case Report: A 56-year-old man presented with left lower extremity pain of 1 h duration. He had no associated complaints. Doppler imaging revealed decreased flow in the left iliac artery, thus, initial treatment with anticoagulation was begun for presumptive obstruction. Subsequent imaging with arteriography revealed a Stanford type A/DeBakey type 1 aortic dissection. This was confirmed by computer-assisted tomography angiography, and the patient was taken to surgery for repair. Conclusion: It is important to consider the connection between lower extremity symptoms and possible aortic dissection.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Emergency Medicine
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Abdominal catastrophes and limb arterial occlusions caused by acute aortic dissections.Magy Seb. 2000; 53: 99-103
- ILEAD—ischemia of the lower extremities due to aortic dissection: the isolated presentation.Clin Cardiol. 1999; 22: 353-356
- Expert panel on cardiovascular imaging—acute chest pain—suspected aortic dissection [online publication].American College of Radiology, Reston, VA2005
Published online: March 31, 2009
Accepted: February 5, 2009
Received in revised form: December 11, 2008
Received: September 12, 2008
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.